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目的 设计和制作改良型手夹板治疗儿童严重伤残手 ,代偿伤残手的夹捏和握持功能。方法 (1 )夹板前期的准备 :消除肿胀和创面、软化瘢痕 ,关节松动等 ;(2 )手夹板的设计、制作和训练。根据伤残手的不同类型和残损程度 ,分别设计制作手指假体的”C”形手夹板和安装辅助具插孔的手夹板。结果 2 3例严重儿童伤残手经过改良型手夹板康复治疗后 ,代偿了夹捏和握持功能。ADL评分由治疗前的 0分提升到 6 .3分。结论 对于没有手术条件或者虽经手术治疗 ,但手功能仍没有改善的严重伤残手 ,可采用改良的手夹板康复治疗 ,以代偿手的夹捏和握持功能。临床实践证明这是一种简便、实用、有效的方法
Objective To design and manufacture a modified hand splint for the treatment of severely hand-disabled children and compensatory hand-gripping and holding functions. Methods (1) pre-splint preparation: elimination of swelling and wounds, softening scar, joint looseness; (2) hand splint design, production and training. According to the different types of hand injuries and the degree of damage, respectively, the design of the finger prosthesis “C” -shaped hand splint and the installation of auxiliary hand jack socket. Results Twenty-three severe handicapped children compensated for the pinch and hold function after the improved hand splint rehabilitation. ADL score improved from 0 before treatment to 6.3 points. CONCLUSIONS: For severely hand injuries that do not have surgical conditions or are surgically treated but have not improved their hand function, improved hand splint rehabilitation may be used to compensate for hand pinch and hold functions. Clinical practice has proved that this is a simple, practical and effective method